| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,260.13 | $1,260.13 | $1,260.13 | |
Emblem Health
| Professional | $55,249.45 | $55,249.45 | $55,249.45 |
Unlisted Procedure Therapeutic Radiology Tx Mgmt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,260.13 | $1,260.13 | $1,260.13 | |
Emblem Health
| Professional | $55,249.45 | $55,249.45 | $55,249.45 |